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Individual

JAMES M HURST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2 TAMPA GENERAL CIR, TAMPA, FL 33606-3603
(813) 259-0929
Mailing address
PO BOX 917770, ORLANDO, FL 32891-7770

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
ME30671
FL
2086S0102X
Surgical Critical Care Physician
ME30671
FL
2086S0127X
Trauma Surgery Physician
Primary
ME30671
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003280100
FL
01
15858
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/03/2006
Last updated
04/14/2011
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